PLEASE MAKE SURE YOU HAVE READ THE DIRECTIONS FIRST BEFORE YOU DECIDE TO JOIN!

Please print this form and fill out completely. (You can hand write it out if you do not have a printer but be sure all info is included.) Then mail it with your $5 (or more if you would like to donate anything extra) in the form of a check or money order (or cash) in U.S. funds payable to ERIKA PIZARRO to: (must be addressed exactly as shown)

O-Town Fan Page Fan Club
c/o Erika Pizarro
P.O. BOX 59167
Chicago, IL 60659
USA

Please also write your return address on the envelope in the upper left hand corner.

O-Town Fan Page Fan Club Membership Form

Full Name: ______________________________________________

Address: _________________________________________
Apt#: ___________________

City: _________________________________

State/Province: _______________________________

Zip Code/Postal Code: __________________

Country: ______________________________

Email address: _____________________________@______________________ (*This is required as we may need to contact you and a lot of fan club info will be sent through email. If you change your adress at any time, please notify us immediately at otfp_erika@yahoo.com)

Male/Female:____________
Age: ___________ Birthday: ______________

Favorite O-Town Member: (you will receive the picture of the person you list here) ____________________________________
2nd picture choice ONLY IF YOU INCLUDED $7-$9: ___________________________________
3rd picture choice ONLY IF YOU INCLUDED $10 or more:(If you want all pictures of the same person, each picture will be from a different time and place.)

Amount and form of payment included: (FILL OUT AMOUNT YOU ARE SENDING AND THE FORM OF PAYMENT BEING USED) $__________cash $__________check $__________money order

DO NOT FORGET TO INCLUDE PAYMENT!

The O-Town Fan Page thanks you for your support!